Saturday, November 9, 2019
The Federal Hpv Vaccination Programme Health And Social Care Essay
There are a figure of ethical issues that arise in proviso of health care services. Although most of the health care enterprises are meant to assist the targeted population overcome wellness jobs they are meeting, proviso of these services has ever been ridden with ethical contentions. One of the recent health care enterprises that have been surrounded by a batch of contention is Federal HPV Vaccination programme. This programme was meant to inoculate all misss between the age of 12 and 26 to protect them against HPV that causes cervical malignant neoplastic disease and venereal warts. However, there are different ethical issues that arose in the class of execution of the school-based programme. It was argued that the plan was implemented as a consequence of increased advertizement by the pharmaceutical companies about the effectivity of the Gardasil vaccinum while there was no scientific study that backed the effectivity of the vaccinum. This was considered as indefensible response to moral issues because there was no adequate grounds back uping the usage of the vaccinums. However, the authorities still insists that the plan was meant to make good for the targeted population sing that cervical malignant neoplastic disease and venereal warts are going major public wellness concern. This is merely one of the health care initiatives that have led to great public tumult when scrutinized in different ethical positions. Healthcare services are meant to assist the population overcome major wellness jobs they face but at the same clip they attract a batch of contention due to struggle of involvement. In order to understand this job good, this survey will reexamine the Federal HPV Vaccine Programme and the ethical issues that arose as a consequence. The survey will first expression at the Federal HPV Vaccination Programme including its aims. The survey will so reexamine the ethical issues that arose from this programme and analyse one of the jobs through ethical positions. The Federal HPV Vaccination Programme Human Papillomavirus ( HPV ) is a group of viruses that are known to do skin warts, venereal warts and different types of malignant neoplastic diseases. There are different HPV that affects different parts of the organic structure with some of them infecting the venereal countries. Warts that are found on other parts of the organic structure like the custodies are known to be caused by different types of HPV. HPV types 6, 11, and 18 are known to do malignant neoplastic diseases with types 16 and 18 linked to cervical malignant neoplastic diseases while types 6 and 11 are linked to venereal warts ( Winer, Hughes & A ; Feng 2006: 2648 ) . Due to the increased prevalence of venereal warts and cervical caners, there have been concerted attempts aimed at developing a vaccinum to cover with the job. HPV is spread by direct contact or during sexual activities. It is estimated that approximately four out of five people are likely to hold venereal HPV infection at some times in their lives ( Parkin 2006: 3035 ; Australian Government, 2010 ) . This is the chief ground why HPV vaccinums have become of import for misss who are sexually activity. The major job with HPV is that it does non do symptoms that people can see ( Winer, Hughes & A ; Feng 2006: 2649 ) . This means that people can hold HPV and non cognize because there are no apparent symptoms. In 2007, the Australian Federal authorities began one of the most ambitious immunisation programmes. It began funding voluntary plan that made Gardasil available and adult females between the age of 12 and 26 old ages for free within a period of two old ages ( Christian 2006: 12 ) . The authorities besides ensured that there was an on-going inoculation programme that targeted 12 and 13 old ages old in schools. Australian authorities, in concurrence with PBS ( Pharmaceutical Benefits Scheme ) approved the vaccinum for public usage and instantly began a national broad programme for school misss aged 7 to 12 old ages ( Poljak & A ; Gemman 2006: 9 ) . The plan has been run by the local councils but the support is provided by the authorities. However, it is argued that the subsidisation of the vaccinums by the authorities could hold been implemented under political influence. Even the curate stood up and said that the programme would be approved long before it received authorities blessing. In add-on, the authorities outlined that adult females between the age of 18 and 26 old ages could besides have the first dosage for free but they had to petitions it from their general practicians ( Christian 2006: 12 ) . However the programme was scaled down to 12 and 13 old ages misss merely after 2009. In add-on, the authorities had approved Gardasil for inoculation of male childs aged between 9 and 15 o ld ages although the authorities did non supply support for boys inoculation ( Christian 2006: 12 ) . The authorities besides directed that in the procedure of disposal of the vaccinums, general practicians should remind their clients that they should besides go on with the regular pablum vilification ( Parkin 2006: 3042 ) . It besides directed them to promote adult females who received the vaccinums to register with National HPV Register for supervising intent. The National HPV inoculation programme registry is used to roll up informations in order to measure the impact of the HPV inoculation on the rates of cervical caners. It is besides used to measure the success of the programme in coverage and if the contact vaccinum receivers required a supporter dosage ( Poljak & A ; Gemman 2006: 9 ) . The registry is of import in helping the authorities recognize its mark of cut downing the prevalence of venereal warts and cervical malignant neoplastic disease among adult females. Ethical issues Like other healthcare enterprises, there are different ethical issues that arise. In the class of history, there have been medical enterprises, particularly those that involve the mass, which have resulted to ethical jobs ( Zimmerman 2006: 4815 ) . Ethical contentions are likely to ensue every clip there is aggregate disposal of vaccinums to forestall spread of diseases. One of the chief issues that arise in such plans is safety. Although there are laboratory and research studies that confirms that safety of these programmes, issues of safety comes in the class of execution of the programme or long after the programme has been winded up. The chief issue of safety when it comes to disposal of vaccinums is that receivers feel that their safety can non be guaranteed because they have non been involved in preparation of the vaccinums or when there is no adequate informations that supports the safety of the vaccinums ( Shciller & A ; Lowy 2006: 1168 ) . Another job that arises in the clas s of public wellness programmes is the issue of informed consent ( Zimmerman 2006: 4815 ) . Although it may be outlined right from the start that the programme will be voluntary, there are propagandas that arise in the class of the programme that convinces the receivers that they have been forced to have the vaccinums. The other job that may originate after such a programme is the usage of options. In most instances, new vaccinums are introduced in such public programmes but the continued usage of the earlier health care services may be affected. For illustration it has been shown that in instances where HPV vaccinum has been administered, most receivers are likely to predate regular showing for malignant neoplastic disease ( WHO ) . The populace can non merely understand why they have been introduced to a new vaccinum and yet they are requited to go on utilizing the old methods of testing like Pap smear. There were a figure of ethical issues that arose in the class of execution of The Federal HPV Vaccination Programme. The first ethical issue was based on the fact that there was non scientific cogent evidence that backed Gardasil as an effectual vaccinum in bar of HPV ( Zimmerman 2006: 4817 ) . Two of the recent articles that were published by New England Journal of Medicine suggested that the vaccinums against cervical malignant neoplastic diseases was used without adequate grounds to shows that they were effectual in undertaking the disease ( Zimmerman 2006: 4815 ) . The writers of these two articles noted that despite the fact that there has been assuring consequences from clinical tests, there was still no sufficient evident to endorse the effectivity of the vaccinums against cervical malignant neoplastic diseases. There as so many indispensable inquiries that still need to be answered and the populace should be cautious when seeking these vaccinums. A recent study that was released in New York Times showed that these vaccinums have been studied for a short period of clip and long term effects are yet to be established The vaccinums was licensed in 2006 after clinical tests that lasted for more than six old ages but this did non bring forth any grounds to demo their effectivity ( Roden, Ling & A ; Wu 2004: 979 ) . Most of import inquiries that have non been answered sing the vaccinums is the continuance the unsusceptibility will last and whether extinguishing strains of the cancers-causing virus is likely to diminish the degree of bodyaaââ¬Å¡Ã ¬aââ¬Å¾?s natural unsusceptibility to other strains of the same virus. Cervical malignant neoplastic disease normally develops after the persons have been infected with chronic HPV and there is no cogent evidence to demo that vaccinums will protect the organic structure against two strains of the virus that are known to do cervical malignant neoplastic disease ( Shciller & A ; Lowy 200 6: 1169 ) . One of major ethical issues that arise from the programme is that the authorities could be enforcing uneffective vaccinums on the population ( Colgrove 2006: 1390 ) . In most instances, medical programmes like The Federal HPV Vaccination Programme are perceived from a useful position in the sense that they are supposed to assist the population. The result of the programmes like The Federal HPV Vaccination Programme should assist the targeted population wellness wise ( Verweij & A ; Dawson 2004: 3126 ) . With this perceptual experience in head, the chief purpose of execution of The Federal HPV Vaccination Programme was to help Australian misss fight cervical malignant neoplastic diseases and venereal warts. However, the involvement of the authorities could non hold been good informed in visible radiation of the studies published in New England Journal of Medicine that shows deficiency of scientific cogent evidence to endorse disposal of this vaccinum in contending cervical malignant n eoplastic disease. Was Australian authorities justified in the usage of Gardasil to contend prevalence of cervical malignant neoplastic diseases in misss sing that there was no adequate scientific backup to turn out it? This is a inquiry that needs to be interrogated through different ethical positions but the involvement of the parties involved must be taken into consideration. Earlier, it was mentioned that the authorities determination to transport out The Federal HPV Vaccination Programme was influenced by political powers ( Haas 2009: 289 ) . There is all ground to interrogate the determination by the authorities to perpetrate more than $ 160 million of the taxpayeraaââ¬Å¡Ã ¬aââ¬Å¾?s money on a vaccinum that has non been proved effectual. First, this meant that the authorities had to relocate financess from other health care plans into order to fund this programme, which led to less financess available for other critical health care disbursement like on of import herceptin and other bosom medicines. This can be considered as a misplaced precedence that was implemented on land of political influence. Closely tied to this issue is concern about increased advertizement of the vaccinum by pharmaceutical companies ( Yudin 2010: 56 ) ) . For many old ages, the pharmaceutical industry has been criticized for advertisement merchandises that have non yet be en proved. Hungry for immense net incomes, the pharmaceutical industry has been publicizing their merchandises long before they have undergone proper vetting process to declare them suit for human ingestion. This is an ethical issue when one considers the effects that such merchandises may hold on the population. In a nut shell, the pharmaceutical industry can be applauded for puting in R & A ; D to guarantee development of drugs and vaccinums to control lifting instance of malignant neoplastic diseases. However, their influence on the political category may take the authorities to take determination like the one taken by Australian authorities for the involvement of these companies. They understood really good that with the authorities backup of such a programme, there would be increased ingestion of their merchandises interpreting to immense net incomes they are seeking in the market ( Schwartz 2010: 1843 ) . Therefore, there is a likeliness that the determination taken by Austral ia authorities could hold been influenced by the pharmaceutical companies that had carried out extended advertizement on the effectual of Gardasil in contending cervical malignant neoplastic disease. Is it possible that the authorities has fallen quarries to strategies by pharmaceutical companies to publicize their merchandises? Did these companies influence the political category to approve the plan in order to function their ego involvement? These are many others are inquiries that need to be closely interrogated when sing the influence of the political category and the pharmaceutical companies on authorities determination to turn over out The Federal HPV Vaccination Programme. However, it is apparent that the increased advertizement on the effectivity of the vaccinums could hold had major influence on the authorities while implementing this plan. In add-on, there were moral issues that could be explored in visible radiation of The Federal HPV Vaccination Programme. The desire by the authorities to implement the programme could hold been elicited by the demand to protect 1000000s of immature misss in the state who a hazard of cervical malignant neoplastic diseases. In another position, it can be argued that through execution of this programme, the authorities assumed that Australian immature misss are prosecuting in sex, the most common method for transmittal of HPV. Australian parents were bullied into a medical response to one of the most controversial moral issue of sex. This was perceived as another programme by the authorities in its safe sex battle. It is acceptable that immature male childs and misss are prosecuting in sexual at a clip that is non appropriate but this does non vouch the authorities to pump false information about protecting immature people from such disease ( Verweij & A ; Dawson 2004: 3124 ) . The issu e of HPV is closely tied to sexual activities among the immature people and the best manner that can be used to cover with it is through plans that discourage immature misss from prosecuting in sex ( Roden, Ling & A ; Wu 2004: 980 ) . Alternatively of the authorities directing such financess to programmes that will assist kids cover with sexual issues during stripling, the authorities goes on to administrate vaccinums that tells immature people that they have license to prosecute in sex because they are aaââ¬Å¡Ã ¬Aââ¬Å"protectedaaââ¬Å¡Ã ¬A? . Oppositions of The Federal HPV Vaccination Programme argue that due to increased public trust on the Gardasil vaccinums, there is likeliness of lessening in usage of Pap smear that has been proved effectual in diagnosing of cervical malignant neoplastic disease ( Zimmerman 2006: 4814 ) . Although the Australian authorities has directed medical professions administrating the vaccinums to promote adult females to travel for regular Pap vilification, there is high likeliness that most adult females are likely to abstain from seeking pablum vilification and rely on the vaccinums which has non been proved effectual in combating cervical malignant neoplastic disease. Another ethical issue that arose in the class of the plan is informed consent. This is one of the most of import ethical demands in biomedical programmes where the participants have to be informed of the purpose of the programme and objectives it will accomplish. The Federal HPV Vaccination Programme dealt with immature kids who were non in place to do their ain determination sing their engagement in the programme ( Verweij & A ; Dawson 2004: 3123 ) . Harmonizing to ethical theories, when covering with kids below the age of 18 old ages, parental consent must be sought before the kid participates in such a programme. By implementing The Federal HPV Vaccination Programme without affecting parents in blessing of the programme, the authorities violated one of the basic ethical demands. In this programme, parents should hold been involved in doing the determination whether to implement the programme or non. Although the ultimate purpose of the authorities was to protect immature misss fro m cervical malignant neoplastic disease, this does non vouch the demand to compromise the rules of informed consent and pick. Informed consent and The Federal HPV Vaccination Programme One of the ethical issues that arose from this plan was the issue of informed consent and pick. The issue of informed consent requires that participants in any medical procedure must be informed of their purpose of the procedure and they should give their consent to take part in the programme. This means engagement must non be compulsory. This rule requires that when covering with kids below the age of 18, who can non do their ain determination to take part in such plans, parental consent must be sought ( Verweij & A ; Dawson 2004: 3126 ) . This means that their parents must be informed of the engagement of their kids and give their consent. The Federal HPV Vaccination Programme was intended to cover with the job of cervical malignant neoplastic disease in misss. From a useful position, the programme should hold produced good consequence for those take parting in the programme. It was supposed to cut down the prevalence of cervical malignant neoplastic diseases among adult female in Australian and this was asses through HPV Register. All medical enterprises like The Federal HPV Vaccination Programme are assessed through useful position because they are expected to hold positive consequences to the populace ( Smart & A ; Williams 1973: 62 ) . A programme that produces negative consequences would be considered a liability to the authorities and the participants as good. The taking ethical rule for public wellness programmes is that they should bring forth good results for the mark population. However, this was non the instance in this programme because there were negative effects that were registered after The Federal HPV Vaccination Programme was implemented. In add-on, the useful attack to this issue does non vouch the authorities any right to go against basic rule of informed consent and pick ( Smart & A ; Williams 1973: 62 ) . There were different ways in which the authorities violated this rule. First, it was earlier highlighted that despite public concern, the Prime Minister had already indicated that the plan would be approved. This meant that the authorities was non ready to see any input from the mark population. The execution of the programme should hold involved the mark population and acquire their blessing whether to take part in the plan or non. Although the authorities had earlier indicated that engagement in the programme was voluntary, school based programmes did non adhere to this rule ( Verweij & A ; Dawson 2004: 3125 ) . Out of their artlessness, and possibly without any cognition of the possible consequence of the programme on their wellness, school traveling misss flocked to have the vaccinums. In such instance the authorities should hold called all parents foremost and informed them of the at hand programme so that parents could do their determination whether their kids should have the inoculation or non. If the authorities failed to affect concerned stakeholders, who in this instance were parents, during the blessing of the programme, parental blessing should hold been sought by the clip the programme was being implemented at school degree. In order to cover with this ethical job, the authorities should recognize the importance of the rule of informed consent and the pick of participants ( Verweij & A ; Dawson 2004: 3125 ) . They should esteem the liberty of Australian school misss and seek the consent of their parents before kids receive vaccinums. Although some may reason that the harm has already been done because a figure of kids have already received the vaccinum, this should non be a ground to disregard pertinence of this rule. Sing the negative effects that have already been registered with the vaccinums, the authorities should every bit good halt the vaccinum until its effectives has been proven. This will guarantee that the rights of Australian misss to do informed pick will be respected. Decision Most medical programmes that target the mass are sometimes loaded with many ethical issues. From the basic point of blessing of such plans, pick of participants, enlisting and disposal, these programmes attract different contentions. The Federal HPV Vaccination Programme is one of such programmes that have attracted ethical contentions. From a useful position, this plan was meant to cut down the prevalence of cervical malignant neoplastic diseases among adult females in Australian. However the pick of Gardasil vaccinums remains controversial because there is no scientific information that backs the effectivity of the vaccinums. In add-on, the blessing of the plan was besides controversial because parent involved was non sought at national or school degree, which means the rule of informed consent was violated. Sing the negative consequence of the vaccinums on those who have received it, the authorities should instantly hold the plan until the effectivity of the vaccinums has been app roved. In add-on, authorities should besides affect the populace in the hereafter when doing of import public wellness determinations because they are stakeholders.
Thursday, November 7, 2019
Examples of Supply in Economics
Examples of Supply in Economics Supply is defined as the total amount of a given product or service that is available for purchase at a set price. This core component of economics may seem vague, but you can find examples of supply in everyday life. Definition The law of supply statesà thatà assuming all else is held constant, the quantity supplied for a good rise as the price rises. In other words, the quantity demanded and theà priceà is positively related. The relationship between supply and demand can be illustrated like this: Supply Demand Price Constant Rises Rises Constant Falls Falls Increases Constant Falls Decreases Constant Increases Economistsà say supply is determined by several factors, including: Price Buyers want to pay as little as possible for a good or service, while producers want to maximize profit by charging as much as possible. When supply and demand are balanced, price tends to be stable Cost The less it costs to manufacture a good, the greater a producers profit margin when that good is marketed at a specific price point. As the cost of production decreases, the more product a manufacturer can produce. Competition Manufacturers may be compelled to lower the price of their goods in order to match the price of similar products offered by a competitor, thus lowering profits. Likewise, producers will seek the lowest price on raw materials, which can, in turn, affect suppliers. Supply and demand do fluctuate over time, and both producers and consumers can take advantage of this. For example, consider seasonà demand on clothing. In the summertime, the demand for swimsuits is very high. Producers, anticipating this, will ramp up production in the winter in order to meet demand as it increases from spring into summer. But if consumer demand is too high, the price on swimwear will rise because it will be in short supply. Likewise, in the fall retailers will begin clearing out excess inventory of swimsuits to make room for cold-weather clothing. Consumers will find prices reduced and save money, but their choices will be limited. Elements of Supply There are additional factors that economists say can affect supply and inventory. Specific quantity is the amount of a product that a retailer wants to sell at a given price is known as the quantity supplied. Typically a time period is also given whenà describing quantityà supplied For example: When the price of an orange is 65 cents the quantity supplied is 300 oranges a week.If the price of copper falls from $1.75/lb to $1.65/lb, the quantity supplied by a mining company will fall from 45 tons a day to 42 tons a day. A supply schedule is a table which lists the possible prices for a good and service and the associated quantity supplied. The supply schedule for oranges could look (in part) as follows: 75 cents - 470 oranges a week70 cents - 400 oranges a week65 cents - 320 oranges a week60 cents - 200 oranges a week A supply curve is simply a supply schedule presented in graphical form. The standard presentation of a supply curve has price given on the Y-axis and quantity supplied on the X-axis. Price elasticity of supply represents how sensitive quantity supplied is to changes in price. Sources Investopedia staff. Law of Supply. Investopedia.com.McIntyre, Shawn. Economics for Beginners. Owlcation.com, 30 June 2016.
Tuesday, November 5, 2019
Groundhog Facts (Marmota monax)
Groundhog Facts (Marmota monax) The groundhog (Marmota monax) is a type of marmot, which is a ground squirrel or rodent. It is familiar to Americans for its weather prognostication on Groundhog Day. The animal goes by many names, including woodchuck, groundpig, and monax. The name woodchuck refers neither to wood nor to chucking. Instead, it is an adaptation of the Algonquian name for the animal, wuchak. Fast Facts: Groundhog Scientific Name: Marmota monaxCommon Names: Groundhog, woodchuck, whistlepig, monax, siffleux, thickwood badgerBasic Animal Group: MammalSize: 16-20 inchesWeight: 5-12 poundsLifespan: 2-3 yearsDiet: HerbivoreHabitat: North AmericaPopulation: Abundant and stableConservation Status: Least Concern Description Within its range, the groundhog is the largest ground squirrel. Adults average between 16 and 20 inches long, including their 6-inch tail. The relatively short tail distinguishes this species from other ground squirrels. Groundhog weight varies dramatically throughout the year, but averages between 5 and 12 pounds. The animals tend to be brownish in color with four ivory incisor teeth. Groundhogs have short limbs that end in thick, curved claws suited to digging and climbing. Habitat and Distribution The groundhog gets its common name from its preference of open, low-elevation land, especially well-drained soil in fields and pastures. Groundhogs are found throughout Canada and in the eastern United States. Other types of marmots are common worldwide, but they tend to prefer rocky and mountainous habitats. Groundhog distribution. Andreyostr, Wikimedia Commons Diet and Behavior Technically, marmots are omnivorous, but groundhogs are more herbivorous than most species. They eat grass, berries, dandelion, coltsfoot, sorrel, and agricultural crops. However, they will supplement their diet with fallen baby birds, insects, snails, and grubs. Groundhogs do not need to drink water if they can obtain it from dew or plant juice. The rodents store fat and hibernate to survive winter rather than caching food. Groundhogs are preyed upon by humans, foxes, coyotes, and dogs. Young may be taken by hawks and owls. Reproduction and Offspring Groundhogs are never found far from their burrows, which they dig in the soil and use for sleeping, escaping predators, raising young, and hibernating. Groundhogs mate after they rouse from hibernation in March or April. The pair remains in the den for the 31 or 32 days of gestation. The male leaves the den before the female gives birth. The usual litter consists of two to six blind pups that emerge from the den after their eyes have opened and their fur has grown. Near the end of summer, the young move off to build their own burrows. Groundhogs may breed the following spring, but most become mature at two years of age. In the wild, most groundhogs live two to three years and up to six years. Captive groundhogs may live 14 years. Baby groundhogs look like miniature versions of the adults. Manfred Kuster / Getty Images Conservation Status The IUCN classifies groundhog conservation status as least concern. The rodents are abundant across their range and have a stable population in most places. They are not a protected species. Groundhogs and Humans Groundhogs are hunted as pests, for fur, for food, and as trophies. Although the rodents eat crops, groundhog burrows improve the soil and house foxes, rabbits, and skunks. So, maintaining a controlled population of groundhogs is beneficial to farmers. February 2nd is celebrated as Groundhog Day in the United States and Canada. The premise of the holiday is that groundhog behavior following hibernation may indicate the approach of spring. Groundhog Day in Punxsutawney, Pennsylvania. Jeff Swensen / Getty Images Research on groundhogs given hepatitis-B may further understanding of liver cancer. The only other suitable animal model for the disease is the chimpanzee, which is endangered. The groundhog is also a model organism for studies on obesity and other metabolic disorders and heart disease. While groundhogs may be kept as pets, they may display aggression toward their handlers. Usually sick or injured groundhogs may be rehabilitated for release back into the wild, but some do form bonds with their caregivers. Sources Bezuidenhout, A. J. and Evans, Howard E. Anatomy of the woodchuck (Marmota monax). Lawrence, KS: American Society of Mammalogists, 2005. ISBN 9781891276439.Grizzell, Roy A. A Study of the Southern Woodchuck, Marmota monax monax. American Midland Naturalist. 53 (2): 257, April, 1955. doi:10.2307/2422068Linzey, A. V.; Hammerson, G. (NatureServe) Cannings, S. (NatureServe). Marmota monax. IUCN Red List of Threatened Species. Version 2014.3. International Union for Conservation of Nature, 2008. doi:10.2305/IUCN.UK.2016-3.RLTS.T42458A22257685.enSchoonmaker, W.J. The World of the Woodchuck. J.B. Lippincott, 1966. ISBN 978-1135544836.OCLC 62265494Thorington, R.W., Jr. and R. S. Hoffman. Family Sciuridae. In Wilson, D.E.; Reeder, D.M. Mammal Species of the World: A Taxonomic and Geographic Reference (3rd ed.). Johns Hopkins University Press. p. 802, 2005. ISBN 978-0-8018-8221-0.
Saturday, November 2, 2019
Ryanair Marketing Mix Analysis Case Study Example | Topics and Well Written Essays - 2750 words
Ryanair Marketing Mix Analysis - Case Study Example Rather than assume that its role was to 'steal' customers from other airlines, it determined that the customer base should be defined in a different way: those who were price-sensitive, but were looking for a scheduled airline approach (rather than charter airlines, which had no fixed schedule). Ryanair also defined the real 'competitors' included alternative modes of travel (bus, train, and car) and fairly inflexible 'budget' scheduled airline seats. Airlines have pioneered in the use of yield management software to increase their average revenue per seat-mile, starting with American Airlines in the early 1980's. New, low-cost airlines started with few of these yield management techniques, calculating that the leisure traveler was put off by the plethora of fares for the same trajectory. Ryanair assumed that passengers placed different values on their travel. The vacationer and displaced worker could count on long-term travel planning. They are price-conscious. For those willing to plan ahead, Ryanair could price significantly below scheduled airlines. As capacity filled and the date for flight departure approached, Ryanair could adjust its pricing online in a flash, helping to assure that most planes fly full. Whereas legacy carriers layered time constraints (greater than 21, 14 or 7 days, for example), Ryanair might price in the opposite direction, giving last-minute flyers a discount for booking. Again, Ryanair defined their customers differently than at the legacy carriers. Their last-minute flyers needed three key attributes: flexible in their flight schedule, price-sensitive and impulsive. Here are the thoughts of potential customers in this last-minute category: "Sure, I'd fly to Dublin to catch a play and quaff a Guinness, if the price were less than 20 return." This is an impulse customer. "I need to get back to Warsaw to handle some immigration papers." This customer is price-sensitive and flexible in his/her schedule. Distribution Channels and Their Importance to Ryanair's Marketing Mix Ryanair could not exist without the Internet. The key benefits and tools for Ryanair are all internet-based: 1. Ryanair's cost per transaction must remain low in order to keep down fares. By bypassing the travel agent (once novel, now commonplace), Ryanair reduced its transaction costs per passenger by 5-10% of airfare. 2. Related to the above, Ryanair was able to reduce labor costs by having the passenger perform much of the administrative work online (and obviating the need at the airport or on the phone). 3. In order to fill planes, Ryanair must have to-the-minute pricing flexibility. Empty seats make no money; the ability to fill the 137th seat in a 737, even if it only provides 20, is an extra 20 falling to the bottom line for that flight. 4. Internet booking allows Ryanair to control all aspects of the customer relationship. This information is invaluable for future promotions. If Ryanair knows, for example, that it has a London-based passenger who travels often to Warsaw, they can focus on that customer for future
Thursday, October 31, 2019
The law of internation finance Essay Example | Topics and Well Written Essays - 500 words
The law of internation finance - Essay Example could be described as follows: a) to identify the key forms of loans available in the context of the Islamic banking system, b) to evaluate the performance of loans provided by the Islamic Financial Institutions; suggestions are also made for the potential increase of the performance of the specific financial products c) to compare these loans with the loans provided by the Western Banks, d) to locate the advantages and disadvantages of loans in the Islamic Banking System, e) to identify the effects of the global financial crisis on the rate of financing by Islamic Banks and f) to identify and analyze the role that Islamic banking can have in the limitation of the effects of recession. The research methodology employed in this study will have two different forms: the literature review will be used in order to identify the views of academic researchers on the studyââ¬â¢s subject; on the other hand, the empirical research will be used aiming to retrieve information on the current aspects of the studyââ¬â¢s issues. The empirical research developed in the context of this study can be distinguished in two categories: a) qualitative research, i.e. reference to case studies; the modes of financing provided by specific Islamic banks will be presented and analyzed; b) apart from the case study analysis, a survey will be conducted in order to retrieve the views of the public on the loans provided by Islamic banks worldwide; employees in Islamic banks worldwide will be asked to state their view on the performance of loans provided by their Banks; the survey will be conducted through the Internet. The types of loans available in the context of Islamic Banking System are specific; Iqbal et al. (2002) refers to the following types of loans: ââ¬Ëa) educational loans, b) gold loans ââ¬â for securing gold, and c) surety loans, which are loans against personal security of two signatoriesââ¬â¢ (Iqbal et al., 2002, p.176). In accordance with Schoon (2009) the main difference between the
Tuesday, October 29, 2019
Immigration Essay Example | Topics and Well Written Essays - 1250 words - 2
Immigration - Essay Example To name a few, high wages, enhanced social mobility and raised social status are the important ones. The readiness of the employers to hire undocumented workers is a guarantee to the prospective illegal immigrant for the life he/she aspires. Throughout the history of America, people of differing ideologies have generally agreed on immigration controls. Public opinion polls have continually shown an overwhelming opposition to illegal immigration as well as for the concept of amnesty. The most persuasive rationale to be in opposition to this latest bill again does not respect the rule of law. There have been controversies regarding the political loyalties, work habits and moral values of the immigrants. Amnesty for illegal aliens is the cornerstone of both John McCain and Barack Obamaââ¬â¢s immigration policy. Amnesty is merely a reward for law-breaking and by whatever name, causes ever escalating future illegal immigration. ââ¬Å"No system depending on a strict regard for the rule of law can treat law-breaking so casuallyâ⬠(Erler, 2004). Those who favor amnesty for illegal aliens, specifically those crossing the southern border do not seem to realize that a crime has been committed and not, as they might have you believe, one without a victim. A cluster of criminal activities exist in order to make illegal immigration possible. Since the deportation of illegal immigrants is not a criminal activity, it is more of an administrative function than a judicial one. Therefore, an efficient executive branch is central to the right handling of the issue of illegal immigration. The executive branch is charged with enforcing the law pertaining to illegal immigration. Nevertheless, none of the Presidential candidates has pledged to make the executive proactive against illegal immigration. It is often noted by many an observer that the number of illegal immigrants is outpacing the number of legal ones and it is a rapidly growing
Sunday, October 27, 2019
Is religion a good force for the society?
Is religion a good force for the society? Is religion a good force for the society? The role of religion in our society has always been debated. Some people are of the view that, religion helps in bringing about a change in society, while other believe it does the very opposite. However, sociologists have a different view on this. They say that religion adopts a middle path. It brings about change and also acts as a conservative force. The notion that religion can help bring about a change is rejected by many theories, including the theory of functionalism and Marxism. It is the effect of such theories which have given birth to the view that religion is a force of conservatism. However, there is still difference between these two theories as well. Functionalists say that, the norms and values on which our society has been built are reinforced by religion. According to Durkheim, religion performs many functions. One of these functions is to ensure that there is harmony and stability in the society. For instance, functionalists say that, when people of the society pray together, it helps in making the society into a single unit. When people become a single unit, the unity of the group increases the bond between the society members is strengthened. Religion in other words is a kind of glue. In fact, its social glue, one that enables solidarity to prevail in society. For instance, Durkheim studied a society of traditio nal Aboriginal people. In his study, he got to know that totems are the main focus of this particular type of society, through which they show their solidarity towards the values that they have learnt. This is one form of solidarity and integration of people into the society. On the other hand, Marxists have a different take on religion. According to them religion brings about conservatism. They say that this is because, religion seeks to make sure that one class is superior and dominant over the other. Marxists have the view point that, the current inequalities in our social surrounding is due to the fact that religion makes one class dominant over the other. The inequalities are mainly due to two things. First and foremost, it is due to the ownership of the means to produce things and secondly, the people who act as employers are easily able to exploit the working class. Marx famous lines on this believe is, Religion is the opium of the masses. He connect the drug opium to religion saying, just like opium, religion makes sure that people who are suffering can bear the pain and it takes them into a dream where they feel happy, when in fact the reality is quite the opposite. Religion is able to do this by, telling people that in the next life they will be given eternal bliss. This promise of bliss makes it easier for people to bear the current suffering and in this way religion justifies the inequality that prevails in society. Class consciousness is stopped from growing by religion. When there is no class consciousness, it is not possible to bring about a revolution. Thus in this way, religion prevents any kind of change in society. Those who are Feminists also agree with the theory, that religion is conservative force. They say the system of patriarchal is also a part and parcel of this conservatism. For example, the fact that in many religions women are not allowed to be religious leaders and the fact that religions endorse the idea that women should stay and take care of the family and that is what their role should be after marriage, also shows that there is some kind of conservatism prevailing, which wishes that the role of women should be subservient and this stance is endorsed by many religions. The above theories can be supported by many real life examples, which show that religion acts as a force of conservatism. One of the best examples, which support the view that Marxists have adopted is the Caste System in India. This cast system is fully supported by the Hindu religion. One more glaring example is the Medieval Europe Monarchs. Their right to rule was said to be their divine right. Their right to be the rulers was believed by the people of those times to be God-given. They had all the power and there was no one who could challenge them or any decision made by them. The above examples show the conservative force of religion. However, the problem is that these theories entirely reject the fact that religion can bring about change in society. Therefore the statement is not supported in entirety. Even though both Marxism as well Functionalism gives an account of religion which is plausible, but their views are criticized by other sociologists, who argue that religion is not a conservative force at all. In fact, they say, religion is a force, a radical force which helps to bring about a change in society. The one who holds this view that, religion can bring about a revolution is Neo-Marxist Otto Maduro. He points to the catholic priests of the 1960s in Latin America, who used to criticize the bourgeoisie. These priests used to teach the Theology of Liberation. It means to free people from their oppression using religion. In both social actions as well as political actions there was collaboration between the Marxists and the Catholics. This was the main catalyst which gave birth to resistance and then led to social change. Consequently in 1979 the Somoza regime in Nicaragua was overthrown from power. This was due to the resistance and change in which the Catholics revolutionari es played a huge part. Some more instances which show that religion was responsible for bringing about social change are also present. Another example of this can be seen during the time period of 1978 to 1985. During this time, Desmond Tutu who was the Archbishop during that time played a very important role in South Africa, when he opposed apartheid. What resulted from his efforts was that, he was the first black person who became Cape Towns Archbishop and led the Anglican Church. Other examples seen by Nelson (1986) include the opposition to communism by the Catholic Church in Poland, as well as in America, where there was a black civil-rights movement. These examples show how authority was undermined and a change was brought in. Weber, one of the most influential classical sociologists also supports the view, that religion is a force which can bring about change. He strongly believed that religion can bring about change and from this belief he came up with his famous theory which said that, Capitalism developed due to Protestantism. There are many types of Protestantism, but Weber has focused on Calvinism. This is because the skilled workers as well as the entrepreneurs were Calvinists, in all the countries where, Western Capitalism prevailed. Weber talks about, how social change was brought about by Calvinism, in his book titled, The Protestant Work Ethic and Spirit of Capitalism. Ascetic ideal was a very important factor in Calvinism, according to Weber. The ethic of hard work with lots of discipline is the basis of capitalism. In the early times, Calvinists followed the bible, their pleasures and entertainments were very simple and they lived a simple life, which was much disciplined. This led to the prop er and correct ethics of work being developed, besides capital. In other words, the right conditions of the economy and the religious belief in Protestantism was mainly responsible for the building of the system of Capitalism. But this theory that Weber came up with has been criticized as well. It was claimed by Eisenstadt (1967), that the development of the system of capitalism has nothing to do with the idea of Calvin. This is because, in countries like Italy, which were catholic, Protestant Reformation came out after Capitalism. Other people, who criticize Weber, talk about the fact that there are many other economic factors which helped to develop capitalism. Some of these factors include, democracy, the influence that immigrants have on the economy and people as well as freedom of religion. Many other critics have disagreed with Weber and said he was wrong because he did not interpret Protestantism properly, he did not locate capitalism properly and last but not the least and he did not understand Catholicism. However, Weber had his share of supporters as well. Marshall (1982) says that people criticized Weber, because they were never able to understand his work. For instance, Weber simply demonstrate d how Calvinism and Catholicism were related and how religion can bring change. He never said that there was any kind of casual relationship between the two. The good thing about the work that Weber did is that, his work is able to show us clearly how religion has the power to change the society. The problem with his view is that, it completely ignores the simple fact that, it is possible for religion to be conservative in some cases and thus the statement put forward in the question is not fully supported. Most of the sociologists believe in the middle path. They believe that religion has both sides. Religion can be a radical force which can bring about change and a conservative force which can stop the change from coming. It all depends on which religion it is and the circumstances that are prevailing in the country in which the change is coming. Thompson came out in support of this view. He identified the factors which are responsible for the role that religion will play in bringing change. For instance, he says that if there are no avenues which can bring change, like no political will to change then religion can step in to do so. Likewise, when such avenues are available (example economy), then religion will play a limited role and will have a more conservative nature. In the end we can say that, religion is indeed a conservative force as well as a force which brings about change. This position is supported by the evidence which has been put forward in support of both views. It shows that religion has the capacity to take on both roles, the role of acting as a radical force as well as a conservative force. The thing that will determine what role religion takes will depend on two things, the religion and the society in question. Even though both the conservative side and the radical side have their supports and arguments, it is better to have a wider view if this, in contrast to a single view. Health Promotion in Nursing: Smoking Cessation Health Promotion in Nursing: Smoking Cessation Public Health Issue SMOKING The purpose of this essay is to identify a public health issue related to a patient in my previous clinical placement. The patient Mrs M who was 35 year old woman diagnosed with lung cancer as a result of smoking. To facilitate the discussion smoking as a public health issue has been chosen. The stage of change model and The Healthy Lives (2010) policy will be explored in relation to smoking. The rationale for choosing this topic is because smoking is an important public health issue. The smoke is very toxic to every human tissue it touches on its way into, through and out of the smokerââ¬â¢s body (Ewles 2005). The cost of smoking on the National Health Service (NHS), which has been found on the ASH poster. ASH is the campaigning group, which was established in 1971 by Royal College of Physicians [RCP].It is a campaigning group which eliminates the harm caused by tobacco. Ash produced a poster with the cost of tobacco to NHS. ASH poster on the rate of smoking cost the NHS à £2.7 billion yearly; more than à £50 million individually week paid treating infections triggered by smoking. Each week smoking financial records for an estimated à £20 million spending on hospital admissions, à £4 million on outpatients, à £10 million on GP consultations, à £1 million on practice nurse consultations and à £17 million in treatment costs. Assuming 1996 amounts of recent and ex-smokers advocates. So advertising and Promotion bans can prevent the onset of smoking and help people to stop (WHO 2008).The ban reduce consumption which was started by research.Saffer and Chaloupka 2000 stated that anti-smoking companies pressed for further restriction on advertising and promotion. Electronic cigarettes has been banned from showing on TV a restriction that some believe might confuse viewers (ASH 2014). It has been said that E ââ¬âcigarettes are not cigarettes. Tobacco Harm Reduction (THR) recommended that quitting all forms of nicotine is the best for smokers E cigarettes are used by 700.00 to 2.1million (ASH 2014). According to Peto et. al. (2003) cited in Ewles (2005), most premature deaths caused by smoking are Lung and coronary cancer, chronic obstructive heart diseases and coronary heart diseases with 42800, 29100 and 30600 deaths respectively every year. In addition, smoking is known to also bring increased risk of many debilitating conditions like impotence, infertility, gum disease, asthma and psoriasis (Ewles 2005). Furthermore, through second hand smoking the health of other family members can be negatively affected. Percival (2009) indicated that second hand smoking can lead to rise in respiratory infection and infection in the lungs .Research shows that the families whose paternities smoulders are the ones who get infected (NHS 2013).The Blair regime introduced to help or guarding children of risk of damage. Blair management has introduced to aim upgrading in social services to security to inspire youths. The government indicated that ââ¬Å"smoking killsâ⬠in a white paper. This campaign was to target reducing smoking among students from 13% to a 9% or less by (2010).They also tried to reduce adults from smoking from 28% to 24%, to reduce the ratio women who were pregnant from smoking. The Prochaska DiClemente (2000) Trans theoretical Model of Change (TTM), will be used to highlight the role of the nurse in implementing a variety of therapies that can be used in order to support Mrs Mââ¬â¢s behaviour change. Public health is defined as the science and art of protecting and promoting health and wellbeing, preventing ill health and prolonging life through the organised effects of society (Faculty of Public Health 2010). Health promotion is a complex activity and is difficult to define. Davies and Macdowall (2006) describe health promotion as ââ¬Å"any strategy or intervention that is designed to improve the health of individuals and its populationâ⬠. However perhaps one of the most recognized definitions is that of the World Health Organizations who describes health promotion as ââ¬Å"a process of enabling people to increase control over their health and its determinants, and thereby improve their health (WHO 1986). If we look at this in relation to the nurseââ¬â¢s role in smoking cessation and giving advice to a patient, this can be seen as a positive concept in that with the availability of information together with support, the patient is then able to make an informed decision, thus creating empowerment and an element of self-control DOH (2013, March 25). Bright (1997) supports this notion suggesting that empowerment is created when accurate information and knowledgeable advice is given, thus aiding the development of personal skills and self-esteem. A vital component of health promotion is health education which aims to change behavior by providing people with the knowledge and skills they require to make healthier decisions and enable them to fulfill their potential. Healthy Lives Healthy People (2010) highlight the vital role nurses play in the delivery of health promotion with particular attention on prevention at primary and secondary levels. Nurses have a wealth of skills and knowledge and use this knowledge to empower people to make lifestyle changes and choices. This encourages people to take charge of their own health and to increase feelings of personal autonomy (Karen.et.al 1999). Smoking is one of the biggest threats to public health, therefore nurses are in a prime position to help people to quit by offering encouragement, provide information and refer to smoking cessation services. In 2010 the white paper Healthy Live Healthy People set out the government long term policy for improving public health and in 2011 a new tobacco control plan was published (Department of Health 2011). The Whitepaper Healthy Life Healthy People set out a range of measures aimed at preventing people from starting to smoke and helping them to stop, such as banning cigarettes advertising on billboards, in size and action on tobacco intensified (DH, 2011). There are also smoking campaigners like Stoptober which is a regime campaign which has been encouraging smokers to quit smoking for a month. These campaigns are done on TVââ¬â¢s and radios on a daily basis.Gorvenment is using ways to campaign by advertising through these advertisements, papers and internet as well. Stoptober is a 28day trial which was said to work 5times more to stop individuals from smoking for good. The reason why Stoptober launched a campaign was to encourage people to take part of the smoking challenge. It started to give advice through the leaflets, posters, in order for people to stop smoking for a month. Research shows that 160 000 people managed to stop smoking for a month with Stoptober campaign. WHO defines health promotion a process of enabling people to increase control over and to improve, their health. It implies that the ideology moves beyond a focus on individual behaviour towards a wide range of social and environmental interventions. Naidoo and Wills (2010), states ââ¬Ëhealth promotion is based on theories about what influences peopleââ¬â¢s health and what are effective interventions or strategies to improve health. The Marmot Review (2010) stated that between 2001 to 2007, prevalence of cigarette smoking among women in manual household dropped from 34 to 28 percent. In Woodhouse, C. 2011 ,showed that between 2001 and 2008, there has been a decrease of smoking in the population of England. They further stated that since the 1980s the uptake of smoking among young people in England has decline, study by Ansell, Gu , Tuit and Sinha (2012) suggests that it is important for nurses to have good relationships with their patients in order to provide quality care which is well understood by their patients. In order to help Mrs M on her transitioning journey to smoking cessation there are therapies such as nicotine replacement therapy (NRT). These efforts have been successful in some cases of enabling patients to stop smoking however there is limited clinical evidence to suggest that this method would be successful in all patients (Rice and Stead 2000). Health professionals are advocates of change in preventing smoking related diseases yet it seems during assessments they skip or hardly mention whether patients want to quit smoking as they blame it on lack of time and patient lack of motivation to quit. (DH 2011). To assist in the assessment process the model of behaviour change will be utilized such as Prochaska Diclementeââ¬â¢s stages of change model (1984). This works on the assumption that individuals go through a number of stages in other to change their behaviour. The first of the stages is pre-contemplation; this is a stage where the individual has no intention of behaviours change. The second stage is contemplation; at this point the individual is considering change. The third stage preparation, this is when the individual is preparing to change. The fourth stage, action, this is where the individual has to make a positive decision to quit, he works towards goals that are realistic and achievable, the need for support is very strong at this stage. The fifth stage, is maintenance, this is the stage of new behaviour for example the individual has quit smoking and moved on to a healthier lifestyle. To select the most appropriate interventions, I need to know the patients present readiness to change. The patient currently resides in stage 1 (pre-contemplation) and this stage will determine the intervention that can be used to empower the patient; therefore it is essential that an effective assessment takes place. In offering a prescription for nicotine replacement to a patient who is in the pre-contemplation stage is unlikely to be successful, because doing so essentially asks the patient to move from pre-contemplation to action without going through the necessary intervening stages AIPPO (2012). My role as a student nurse is to encourage the patient in the pre-contemplation stage to think about her smoking and to consider the possibility that smoking is a problem that needs attention. Being in the pre-contemplation stage suggests that the patient has some unresolved contradiction about change and thus needs help moving to stage 2 where the patient can start to prepare for smoking cessation. Brief interventions can be effective in the pre-contemplation stage and as the patient moves from one stage to the next. Effective interventions include the following: educate the patient about the effects of smoking, recommend changes in behaviour, list options for achieving behavioural change, discuss the patientââ¬â¢s reaction to the nurseââ¬â¢s feedback and recommendations, follow up to monitor to reinforce behavioural change. This process, known as ââ¬Å"motivational interviewing,â⬠uses empathy rather than confrontation. It acknowledges that the patient, not the nurse, is responsible for changing behaviour. In conclusion, it is evident that smoking is a vital aspect of public health and therefore a vital part of nursing practice. In particular, health promotion in daily practice is required to help patient to overcome the habit. Smoking is a major public health issue that continues to donate to social and health inequalities. References : According to the Oxford Medical Companion (1994) cited World Health Organization (2008). WHO report on the global tobacco epidemic Geneva: WHO 2008. Action on Smoking and Health (2006). Smoking Statistics; Illness and death. [Online]. Available from: http://old.ash.org.uk/html/factsheets/html/fact02.html AIPPO (2012). Stages of Change Model by Prochaska and DiClemente. Retrieved April 3, 2014, from http://currentnursing.com/nursing_theory/transtheoretical_model.html ASH. Use of electronic cigarettes in Great Britain. 2014. ASH. Secondhand smoke. 2014 Bright, J. (1997) Health promotion in clinical practice: Targeting the health of the nation. London, Bailliere Tindall Cancer Research UK (2009). Lung cancer and smoking statistics. [Online]. Available from: http://info.cancerresearchuk.org/cancerstats/types/lung/smoking/. Christensen, M. Hewitt-Taylor, J. (2006) Empowerment in nursing: Paternalism or maternalism. British Journal of Nursing, Vol 15, issue 13, pp 695-699 Department of Health (2010) Healthy Lives Healthy People. London, The Stationary Office Davies, M. Macdowall, W. (2006) Health Promotion Theory, Understanding Public Health. London, Open University Press Ewles, L. (2005). Key topics in Public Health. Essential briefings on prevention and health promotion. London: Elsevier Ltd. The NHS Information Centre (2008). Statistics on smoking; England, 2008. Karen J.Berger, Marylin Brinkman Williams, (Appleton and Large). Fundamentals of Nursing Collaborating for Optimal Health, Volume 2. 3rd ed. : 1999. Naidoo, J. Wills, J. (2005). Public health and health promotion. Developing practice 2nd ed. London: Elsevier Ltd. National Health Services (NHS) 2013. Suzzane Noble, (2012). . In: (ed), Clinical Text of Dental Hygiene and Therapy. 4th ed. John Wiley and son 2012. pp.e.g. (32-48). Royal College of Physicians. Harm reduction in nicotine addiction: helping people who canââ¬â¢t quit. A Report by the Tobacco Advisory Group of the Royal College of Physicians. London: RCP, 2007. Peto, R., Lopez, A., Boreham, J. et al. (2003). Mortality from smoking in developed countries 1950 -2000. 2nd ed. Oxford: Oxford University Press. Prochaska etal (2000). Health attribution therapy. Retrieved April 3, 2014, from http://homepage.ntlworld.com/gary.sturt/health/healthat.htm Prochaska, J.O. and DiClemente, C.C. (1984) The Transtheoretical Approach: Crossing Traditional Boundaries of Therapy. Dow Jones Irwin, Homewoo Rice, Stead (2001). Nursing interventions for smoking [Cochrane Database Syst Rev. 2000] PubMed NCBI. Re-trieved April 3, 2014, from http://www.ncbi.nlm.nih.gov/pubmed/10796619 Woodhouse, C. (2011, June 24). 700 pubs closed by smoke ban, supermarket beer and tax rises News London Even-ing Standard. Retrieved March 24, 2014, from http://www.standard.co.uk/news/700-pubs-closed-by-smoke-ban-supermarket-beer-and-tax-rises-6414902.html World Health Organization (WHO) (1986) Ottawa Charter. (Online) available at: http://www.who.int/hpr/NPH/docs/ottawa-charter-hp.pdf. Date accessed 11.12.10, 15.20 1
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